Sports clinic Paris
Metro: Saint Marcel
Parking 6 rue test
The information provided on this website is provided by medical professionals: sports doctors, rheumatologists, functional rehabilitation doctors, orthopedic, clinical surgeons sport, podiatrist sports meeting within the group "chirurgiedusport.com"
Technical hamstring ligament or DT 4 or hamstring
Complications of the hamstring ligament reconstruction:
Statistics show few complications that although they are rare, constant concern to the medical team. This risk explains that some examinations and / or complementary treatments are prescribed
Anesthetic risks are explained in the consultation for preoperative anesthesia is required at least 48 hours prior to the intervention. (except for emergencies)
Withers risks: the tourniquet can be responsible for local cutaneous or neurological disorders, usually regressive. These complications are preventable systematic protection of the skin and continuous monitoring of the pressure of the withers.
Risks related to the surgical technique: some cases of pain at the donor site hamstring and bone cracking on the femur or tibia bone tunnels in the transplant receivers. These lesions are usually benign but can cause the surgeon to use other incisions and possibly of osteosynthesis material (screws, clip) to treat them.
Of tendon-muscle secondary lesions have also been described at the graft harvest site (tendinitis, tendon rupture) may require special treatment.
Severe damage to vascular or neurological injury are reported very rarely in the French and international literature. They need urgent treatment, the consequences can be very serious and penalizing.
The joint infection is very rare less than 0.37% of cases. A joint exhibiting in the days after surgery, swelling, inflammatory signs and possibly partnering with fever, should suggest this complication. It requires emergency treatment. These risks are minimized by strict aseptic protocols before, during and after surgery and intraoperative antiobioprophylaxie according to the protocol of the CLIN (Committee for the Fight against nosocomial infections).
Venous thrombosis or phlebitis of the lower limb is rare but can occur, usually favored by a particular field. It is the subject of preventive treatment with anticoagulant sting
Hemarthrosis (intra-articular bleeding) results in the rapid onset of a power effusion which can be very painful. It is linked to either a bleeding in the path of the incision, or bleeding of an intra-articular structure. Sometimes it is necessary to wash the joint block to relieve the patient.
The diffuse subcutaneous hematoma often results in delayed onset and progressive a subcutaneous hematoma is often little painful but very impressive. A simple rest, icing and elevation of the lower limb used to make disappear 2to 3 weeks.
Scars can be the seat of small local redness problems, delayed wound healing. It is not uncommon to note the presence of a small subcutaneous hematoma surrounding the scar and down on the leg and back of the knee. These hematomas resolve spontaneously within weeks. Finally, can occur unpleasant sensations of dysesthesia, paresthesia or anesthesia skin near the incision means any incision in the skin causes the nervous micro thread section, which cause these sensory disorders generally very localized and usually regressive within months.
Algodystrophy is a painful reaction and enraidissant of articulation, of unknown origin, which can occur after any surgery. It can significantly extend in the suites and leave sequelae persist (pain, partial loss of mobility, adaptive difficulty effort)
The "working cyclop"is a deficit of full extension of the knee, resulting in a process of healing own exuberant in some individuals. This syndrome causes a delay recovery with a mechanical locking sensation in front of the knee. It can cause the surgeon to carry out a new arthroscopic knee to release this excess scarring, though rarely before 6 th postoperative month.
Failed Registry for mechanical or biological, the ligament graft may break or necrotic, thus losing its effectiveness, can reproduce the initial symptoms. Reoperation can then be discussed.
This technique of reconstruction of the anterior cruciate ligament plasty involving extra and intra-articular fascia lata was described by Hey-Groves in 1917, modified in 1972 and MacIntosh Jaeger recently. This reconstruction is a technique increasingly practiced for controlling the tibial rotation and rotational jump experienced by the patient and the surgeon objectified by clinical examination.
This lateral grafting used in this technique is called the fascia lata is a transplant with high resistance comparable to other biomechanical transplants used. The fascia lata retains its tibial insertion, which is a natural attachment system and therefore superior to any other system used. This technique has the advantages of not having to levy tendon and therefore the hope of postoperative muscle recovery and normalization of the fastest isokinetic tests.
The coracoid bone block screwed in front of the glenoid realized today either open or arthroscopically.
The advantages of arthroscopic abutment technique are:
- Take stock of the damage to the joint, bead, cartilage, loss of bone substance, tendon injuries
- The precise positioning of the stop because under direct control by the camera,
- Of smaller sizes scars,
- The treatment of lesions as lesions of the biceps (SLAP lesion) or lesions of the rotator cuff (tendon rupture) that can be treated in the same operation
- Early functional recovery
Latarjet arthroscopic intervention
The procedure is most often performed under general anesthesia with an inter-scalene block made ??preoperatively by the anesthetist. It involves taking a bone block of about 2 cm at the expense of the coracoid and place it in the anterior and inferior part of the glenoid cavity, passing through the subscapularis muscle. The coracoid can be positioned upright and secured by a screw according to Bristow or lying and fixed by two screws according Latarjet. (read more..)
The shoulder dislocations and recurrent anterior instability is a common problem among young athletes making up 90% of shoulder dislocations. Surgical indication can be provided in these cases of glenohumeral dislocations previous recurrent, but also in cases of painful and unstable shoulders. A question now arises, should we offer it immediately after the first dislocation or should we expect one or more recurrences? (Read more ...)
Patient, 58, sporting good level with chronic tendinitis of the Achilles tendon of the left.
chronic Achilles tendon pain lasting for more than a year after a triathlon.
The patient has received medical treatment (necessary before any surgical decision): rehabilitation, Stanish stretching, shock wave, orthopedic soles. (read more...)
While muscle injuries of the posterior region of the thigh are common in athletes, the proximal hamstring rupture is a rare disease. A study published in 2003  analyzed in a consecutive series of 170 patients, 179 trauma hamstrings occurred over a period of 3 years. MRI and / or ultrasound showed that only 12% of the injuries were fractures of the proximal and 9% complete ruptures. It is also little known, the first cases described in the literature from 1988 . Clinically the patients describe a violent pain in the buttock (stab printing) followed by leg weakness. ( To be continued..)